FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 1
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompany
Activity
ProgramLevel
BTSAttends
Region Staff &Consultants Attend
Hold AnnualUtility Conference
& Present ApprovedImprovement Programs
Attends
ProjectLevelHighwayDesignPhase
Request EngineeringAuthorization forDesign Project
BSHP Approves& Notifies
Schedule ProjectDesign Activities
Determine Utility FacilitiesWithin Project Limits, 220.04 (1)
Identify Owner of Facilities, 220.04 (2)
Notify Owner of ProposedImprovement by Mail
(Form DT 1077), 220.04 (3) Respond Within 60Calendar Days with
Description and GeneralLocation, 220.04 (5)
Invite Utility Companiesto Attend Operational
Planning Meetings and/orFurnish system maps
of Project Area
Attends and/orFurnishes Facility
Location Maps
Hold OperationalPlanning Meeting
BTS = Bureau of Technical ServicesBSHP = Bureau of State Highway ProgramsBHO = Bureau of Highway OperationsBPD = Bureau of Project Development220.xx = Reference to Trans 220
Admin. Rule
Begin Design
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompany
Activity
ProgramLevel
BTSAttends
Region Staff &Consultants Attend
Hold AnnualUtility Conference
& Present ApprovedImprovement Programs
Attends
ProjectLevelHighwayDesignPhase
Request EngineeringAuthorization forDesign Project
BSHP Approves& Notifies
Schedule ProjectDesign Activities
Determine Utility FacilitiesWithin Project Limits, 220.04 (1)
Identify Owner of Facilities, 220.04 (2)
Notify Owner of ProposedImprovement by Mail
(Form DT 1077), 220.04 (3) Respond Within 60Calendar Days with
Description and GeneralLocation, 220.04 (5)
Invite Utility Companiesto Attend Operational
Planning Meetings and/orFurnish system maps
of Project Area
Attends and/orFurnishes Facility
Location Maps
Hold OperationalPlanning Meeting
BTS = Bureau of Technical ServicesBSHP = Bureau of State Highway ProgramsBHO = Bureau of Highway OperationsBPD = Bureau of Project Development220.xx = Reference to Trans 220
Admin. Rule
Begin Design
FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 2
General Utility Coordination Process on State Highway Projects
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
Region Office Staff or Consultants
HighwayDesignPhase Begin Field Survey
Begin Evaluating Alternatives
Hold Information Meeting& Public Hearings
Select and DevelopPreferred Alternate
Continue FieldSurvey
Prepare PreliminaryPlan & Cross-Sections
Use Utility InformationReceived to Help
Evaluate Alternatives
Invite Utilities toInformation Meetings
& Public Hearings
Attend Meetings
Request Utility Companies to Field Locate
Underground Facilities,to Have Them
Picked up by the Survey
Field Locate & MarkUnderground Facilities
Notify RegionWhen Completed.
Survey and ReferenceMarked Utility Facilities
Show Surveyed UtilityLocations on Plan
Evaluate Utility Conflicts
General Utility Coordination Process on State Highway Projects
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
Region Office Staff or Consultants
HighwayDesignPhase Begin Field Survey
Begin Evaluating Alternatives
Hold Information Meeting& Public Hearings
Select and DevelopPreferred Alternate
Continue FieldSurvey
Prepare PreliminaryPlan & Cross-Sections
Use Utility InformationReceived to Help
Evaluate Alternatives
Invite Utilities toInformation Meetings
& Public Hearings
Attend Meetings
Request Utility Companies to Field Locate
Underground Facilities,to Have Them
Picked up by the Survey
Field Locate & MarkUnderground Facilities
Notify RegionWhen Completed.
Survey and ReferenceMarked Utility Facilities
Show Surveyed UtilityLocations on Plan
Evaluate Utility Conflicts
FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 3
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompany
Activity
HighwayDesignPhase
BPDConcurs with
Design Study Reportand Returns
Prepare & SubmitDesign Study Report
Conduct PropertyTitle Searches for
Proposed Right of Way
Develop Plat ofProposed Right of Way
Establish Rightof way Parcels
Real Estate SectionSubmits Right of Way
Plat & Relocation Order
Real Estate SectionReceives Approved Right of
Way Plat &Relocation Order. BeginsRight of Way Acquisition
Field Survey & Mark Proposed New Right of
Way Boundary
Obtain Utility PropertyRights Information by Title Searches &
Consultation with Utility Companies
Show Utility Locationson Right of Way Plat
Identify Compensable UtilityParcels/Utility Agreements.
Establish Utility Projects
Non-CompensableUtility Work
CompensableUtility Work
Send Notice of Compensable WorkFurnish Project Plan Reimbursement 220.05 (1)
Agreement & Release of Rights Document. 220.05 (2)
(Form DT 1078)Send Notice of
Potential Conflict 220.05 (1)Furnish Project Plan
(Form DT 1078) 220.05 (2)
Receives Notification& Project Plan
Bureau of TechnicalServices Reviews
Recommends & Approvesthe Right of Way Plat
& Relocation Order
Bureau of Technical Services Returns
Approved Right of WayPlat & Relocation Order
BPD ReceivesCopy of Approved Plat
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompany
Activity
HighwayDesignPhase
BPDConcurs with
Design Study Reportand Returns
Prepare & SubmitDesign Study Report
Conduct PropertyTitle Searches for
Proposed Right of Way
Develop Plat ofProposed Right of Way
Establish Rightof way Parcels
Real Estate SectionSubmits Right of Way
Plat & Relocation Order
Real Estate SectionReceives Approved Right of
Way Plat &Relocation Order. BeginsRight of Way Acquisition
Field Survey & Mark Proposed New Right of
Way Boundary
Obtain Utility PropertyRights Information by Title Searches &
Consultation with Utility Companies
Show Utility Locationson Right of Way Plat
Identify Compensable UtilityParcels/Utility Agreements.
Establish Utility Projects
Non-CompensableUtility Work
CompensableUtility Work
Send Notice of Compensable WorkFurnish Project Plan Reimbursement 220.05 (1)
Agreement & Release of Rights Document. 220.05 (2)
(Form DT 1078)Send Notice of
Potential Conflict 220.05 (1)Furnish Project Plan
(Form DT 1078) 220.05 (2)
Receives Notification& Project Plan
Bureau of TechnicalServices Reviews
Recommends & Approvesthe Right of Way Plat
& Relocation Order
Bureau of Technical Services Returns
Approved Right of WayPlat & Relocation Order
BPD ReceivesCopy of Approved Plat
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 4
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
HighwayDesignPhase Continue to Develop
Final Highway Plan
Furnish Latest Plans,Cross-Sections, Plat,
& Detail Sheets
Non-CompensableUtility Work
CompensableUtility Work
If Desired,Meet with Utility in Office or Field to ReviewConflicts & Discuss Relocation Alternatives
BTS Reviews &Processes Documents
Review work PlanIf compatible &
ReasonableForward to BTS withRecommendations,
Agreement & Release of
Rights 220.05 (7)
Review Work PlanIf Compatible &
Reasonable AdviseOwner by Mail
220.05 (7) Advise Owner byMail to Resubmitif not Compatibleor Reasonable
BTS ReturnsCopies of Approved
Agreement
BSHP AuthorizesProject for Charging
Advise Ownerby Mail
Resubmit ifnot
Compatibleor Reasonable
Receive Copy ofApproved Agreement
Return Agreementto Utility & Advise ByMail if Work Plan is
Compatible & Reasonable220.05(7)
UtilityCompanyActivity
Attends
Begin EvaluatingUtility Conflicts
& PrepareWork Plan
Complete WorkPlan & for Compensable
Work, Estimate,Execute Agreement &
Release of Rights
Submit Work 220.05 (4)Plan & for
Compensable WorkCost Estimate 220.05 (6)
Agreement & Release of Rights.
Resubmit if Advisedby the Dept. That Work
Plan is not Compatible orReasonable
Receive ApprovedAgreement &
Work Plan Approval
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
HighwayDesignPhase Continue to Develop
Final Highway Plan
Furnish Latest Plans,Cross-Sections, Plat,
& Detail Sheets
Non-CompensableUtility Work
CompensableUtility Work
If Desired,Meet with Utility in Office or Field to ReviewConflicts & Discuss Relocation Alternatives
BTS Reviews &Processes Documents
Review work PlanIf compatible &
ReasonableForward to BTS withRecommendations,
Agreement & Release of
Rights 220.05 (7)
Review Work PlanIf Compatible &
Reasonable AdviseOwner by Mail
220.05 (7) Advise Owner byMail to Resubmitif not Compatibleor Reasonable
BTS ReturnsCopies of Approved
Agreement
BSHP AuthorizesProject for Charging
Advise Ownerby Mail
Resubmit ifnot
Compatibleor Reasonable
Receive Copy ofApproved Agreement
Return Agreementto Utility & Advise ByMail if Work Plan is
Compatible & Reasonable220.05(7)
UtilityCompanyActivity
Attends
Begin EvaluatingUtility Conflicts
& PrepareWork Plan
Complete WorkPlan & for Compensable
Work, Estimate,Execute Agreement &
Release of Rights
Submit Work 220.05 (4)Plan & for
Compensable WorkCost Estimate 220.05 (6)
Agreement & Release of Rights.
Resubmit if Advisedby the Dept. That Work
Plan is not Compatible orReasonable
Receive ApprovedAgreement &
Work Plan Approval
UtilityCompanyActivity
Attends
Begin EvaluatingUtility Conflicts
& PrepareWork Plan
Complete WorkPlan & for Compensable
Work, Estimate,Execute Agreement &
Release of Rights
Submit Work 220.05 (4)Plan & for
Compensable WorkCost Estimate 220.05 (6)
Agreement & Release of Rights.
Resubmit if Advisedby the Dept. That Work
Plan is not Compatible orReasonable
Receive ApprovedAgreement &
Work Plan Approval
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 5
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
HighwayDesignPhase
BHO ReviewsApproves & Returns
Permit to Utility
Non-CompensableUtility Work
CompensableUtility Work
Review & ApprovePermit Application orWhen Required. (*)
Submit for Approval to BHO
Complete Highway Plan
Return Region ApprovedPermit to Utility
Review &Recommend
PermitApplication to BHO (*)
Submit PermitApplication for Work
in Right of Way
Receive ApprovedPermit
Advise Within 15 Daysof Receiving Required
Approvals From Govt. Agencies220.05 (8)
Begin UtilityRelocation
Notify Utility Owner by Mail not Less than 30 Calendar DaysBefore Owner is Required to Begin Work. Hold Utility Coordination Meeting (Design Phase) toReview Status & Progress of Utility Relocation
Attend & Reporton Relocation Status
(*)Region Authorized to Approve All Permits Except for:1. Freeways & Interstate2. Where Blasting Required
Continue/CompleteUtility Construction
Prepare & Furnish Utilities Status ReportPrepare P.S. & E.& Submit to BPD
Invite Utilities to Pre-Bid Meeting, if HeldAttends
Construction SectionHold Pre-Bid
Meeting (Optional)
BPD Reviews& Approves
PS&E
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
HighwayDesignPhase
BHO ReviewsApproves & Returns
Permit to Utility
Non-CompensableUtility Work
CompensableUtility Work
Review & ApprovePermit Application orWhen Required. (*)
Submit for Approval to BHO
Complete Highway Plan
Return Region ApprovedPermit to Utility
Review &Recommend
PermitApplication to BHO (*)
Submit PermitApplication for Work
in Right of Way
Receive ApprovedPermit
Advise Within 15 Daysof Receiving Required
Approvals From Govt. Agencies220.05 (8)
Begin UtilityRelocation
Notify Utility Owner by Mail not Less than 30 Calendar DaysBefore Owner is Required to Begin Work. Hold Utility Coordination Meeting (Design Phase) toReview Status & Progress of Utility Relocation
Attend & Reporton Relocation Status
(*)Region Authorized to Approve All Permits Except for:1. Freeways & Interstate2. Where Blasting Required
Continue/CompleteUtility Construction
Prepare & Furnish Utilities Status ReportPrepare P.S. & E.& Submit to BPD
Invite Utilities to Pre-Bid Meeting, if HeldAttends
Construction SectionHold Pre-Bid
Meeting (Optional)
BPD Reviews& Approves
PS&E
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
FDM 18-10 Attachment 1.1 General Utility Coordination Process on State Highway Projects
February 28, 2007 Attachment 1.1 Page 6
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
HighwayDesignPhase
BPD Lets & Awards Highway
Contract.
Construction Section HoldsPre-Construction Conference
for Highway Contract
Non-CompensableUtility Work
CompensableUtility Work
Hold Utility Coordination Meeting(Construction Phase) to Review
Status & Progress of Utility Relocation
Attend & Report on Relocation Status
Notify Utilities of Pre-Construction Conference
Attends
Begin HighwayConstruction
Monitor HighwayConstruction
Notify Utilities of Start ofHighway Construction
Coordinate WorkWith Highway
Construction 220.06(As Necessary)
Complete UtilityConstruction220.06 (6)(a)
Monitor Utility Construction Operation
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
ActivityLevel
Central Office Unit
ProjectDevelopment
Activity
UtilityCoordination
Activity
UtilityCompanyActivity
HighwayDesignPhase
BPD Lets & Awards Highway
Contract.
Construction Section HoldsPre-Construction Conference
for Highway Contract
Non-CompensableUtility Work
CompensableUtility Work
Hold Utility Coordination Meeting(Construction Phase) to Review
Status & Progress of Utility Relocation
Attend & Report on Relocation Status
Notify Utilities of Pre-Construction Conference
Attends
Begin HighwayConstruction
Monitor HighwayConstruction
Notify Utilities of Start ofHighway Construction
Coordinate WorkWith Highway
Construction 220.06(As Necessary)
Complete UtilityConstruction220.06 (6)(a)
Monitor Utility Construction Operation
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
General Utility Coordination Process on State Highway Projects
Region Office Staff or Consultants
FDM 18-10 Attachment 1.2 Utility Coordination on Federal/State Funded Local Unit Projects
February 28, 2007 Attachment 1.2 Page 1
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
BTSAttends
Holds AnnualUtility Conference
Attends, PresentsApproved Local Program
Attends Attends
BSHP AuthorizesProject for Chargingand Notifies Region
Approves CDRRequests Authorization
for Design Project
Prepare/Submit ConceptDefinition Report &
Executed Project Agreementfor Design Project
Forwards Approval Selects & NotifiesConsultant
Begin HighwayProject Design
Hold OperationalPlanning Meeting
Begin Field Survey
Survey Utilities
Develop PreliminaryPlan, Show Utilities
Furnish Copy.
Attends Attends
Attend &Furnish FacilityLocation Maps
Field LocateFacilities
Verify Utilities on Plan. Notify Consultant
Submit PreliminaryPlan for Approval
Review Plan &Comment/Approve
Submit PreliminaryPlan for ReviewReview Plan
& Return Comments
Attends Attends Hold Information Meeting Attends
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
BTSAttends
Holds AnnualUtility Conference
Attends, PresentsApproved Local Program
Attends Attends
BSHP AuthorizesProject for Chargingand Notifies Region
Approves CDRRequests Authorization
for Design Project
Prepare/Submit ConceptDefinition Report &
Executed Project Agreementfor Design Project
Forwards Approval Selects & NotifiesConsultant
Begin HighwayProject Design
Hold OperationalPlanning Meeting
Begin Field Survey
Survey Utilities
Develop PreliminaryPlan, Show Utilities
Furnish Copy.
Attends Attends
Attend &Furnish FacilityLocation Maps
Field LocateFacilities
Verify Utilities on Plan. Notify Consultant
Submit PreliminaryPlan for Approval
Review Plan &Comment/Approve
Submit PreliminaryPlan for ReviewReview Plan
& Return Comments
Attends Attends Hold Information Meeting Attends
FDM 18-10 Attachment 1.2 Utility Coordination on Federal/State Funded Local Unit Projects
February 28, 2007 Attachment 1.2 Page 2
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
Concur withDesign Study
Report & Return
Prepare & SubmitDesign Study Report
Develop Plat of Proposed Right of Way.Show Utilities on Plat & Identify
Compensable Utility Parcels, Put Parcel/Project in Schedule of Interests.
Submit Final Plat
Review Plat &Prepare Relocation
Order (R.O.) Furnish Copes.
Review Plat & R.O.(For Federal/State
Funded Projects ForwardPlat & R. O. for C.O.
Review/Approval)
Bureau of TechnicalServices
Review/Approve Plat & R.O.
(Federal FundedProjects Only)
Receive ApprovedPlat & R.O. &
Forward
Bureau of TechnicalServices
Return ApprovedPlat & R.O.
File Signed Right ofWay Plat & Relocation Order
Continue DevelopingHighway Plans
CompensableUtility Work
Non -CompensableUtility Work
For Non-CompensableUtility Work. NotifyUtility of Conflicts
Furnish Highway Plat,Plans, Cross-Sections
ReceivesNotification
Begin Evaluating Utility Conflicts
& PreparingRelocation Plan.
Begin Right of Way& Utility Parcel
Acquisition
For Compensable ParcelsNotify Utility of Conflicts
Furnish Highway Plat, Plans &Cross-Sections. Notify of Eligibility
for Reimbursement. Request Utility toDevelop Relocation Plan & EstimateFurnish Reimbursement Agreement
& Release of Rights Documents
BSHP ApprovesUtility Projects for
File PurposesOnly & Notifies
If Federal/StateFunds Programmed
for Compensable UtilityParcels Establish UtilityProjects with Budgets &
Schedules
Notifies
Receives Notification.Begin Evaluating UtilityConflicts & Preparing
Relocation Plan
Review Project inField With Utility
Attends Attends Attends
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
Concur withDesign Study
Report & Return
Prepare & SubmitDesign Study Report
Develop Plat of Proposed Right of Way.Show Utilities on Plat & Identify
Compensable Utility Parcels, Put Parcel/Project in Schedule of Interests.
Submit Final Plat
Review Plat &Prepare Relocation
Order (R.O.) Furnish Copes.
Review Plat & R.O.(For Federal/State
Funded Projects ForwardPlat & R. O. for C.O.
Review/Approval)
Bureau of TechnicalServices
Review/Approve Plat & R.O.
(Federal FundedProjects Only)
Receive ApprovedPlat & R.O. &
Forward
Bureau of TechnicalServices
Return ApprovedPlat & R.O.
File Signed Right ofWay Plat & Relocation Order
Continue DevelopingHighway Plans
CompensableUtility Work
Non -CompensableUtility Work
For Non-CompensableUtility Work. NotifyUtility of Conflicts
Furnish Highway Plat,Plans, Cross-Sections
ReceivesNotification
Begin Evaluating Utility Conflicts
& PreparingRelocation Plan.
Begin Right of Way& Utility Parcel
Acquisition
For Compensable ParcelsNotify Utility of Conflicts
Furnish Highway Plat, Plans &Cross-Sections. Notify of Eligibility
for Reimbursement. Request Utility toDevelop Relocation Plan & EstimateFurnish Reimbursement Agreement
& Release of Rights Documents
BSHP ApprovesUtility Projects for
File PurposesOnly & Notifies
If Federal/StateFunds Programmed
for Compensable UtilityParcels Establish UtilityProjects with Budgets &
Schedules
Notifies
Receives Notification.Begin Evaluating UtilityConflicts & Preparing
Relocation Plan
Review Project inField With Utility
Attends Attends Attends
FDM 18-10 Attachment 1.2 Utility Coordination on Federal/State Funded Local Unit Projects
February 28, 2007 Attachment 1.2 Page 3
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
Provide GuidanceAs Needed Review Utilities
Submittal ProvideInformationAs Needed
CompensableUtility Work
Non -CompensableUtility Work
DevelopRelocation Plan& Cost Estimate
Review & executeAgreement & Releaseof Rights Document
Submit Plans, Cost Estimate & Agreement
DevelopRelocation
Plan
Federal/State Fundsto be Used for Utility
Relocation?
Yes No
Federal/StateFunds to be
Used for Utility Relocation?
Yes No
Execute AgreementForward Copy with
Utilities Plan & Estimate for Federal/State Funding Approval
Approves Agreement
Returns ApprovedLocal Funded Agreement
to Utility with Start Work Notice
Return Executed Copy ofFederal/State Funded Utility Agreement
Review SubmittalForward to BTSwith Certificateof Eligibility &
Recommendations
BTSProcesses Documents
BTS Returns Copies ofFederal/State
Funding Approval
ReceiveFederal/State
Funding Approval
BSHP Authorizes UtilityProject for Charging
Send Notice ofFederal/State
Funding Approval
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
Provide GuidanceAs Needed Review Utilities
Submittal ProvideInformationAs Needed
CompensableUtility Work
Non -CompensableUtility Work
DevelopRelocation Plan& Cost Estimate
Review & executeAgreement & Releaseof Rights Document
Submit Plans, Cost Estimate & Agreement
DevelopRelocation
Plan
Federal/State Fundsto be Used for Utility
Relocation?
Yes No
Federal/StateFunds to be
Used for Utility Relocation?
Yes No
Execute AgreementForward Copy with
Utilities Plan & Estimate for Federal/State Funding Approval
Approves Agreement
Returns ApprovedLocal Funded Agreement
to Utility with Start Work Notice
Return Executed Copy ofFederal/State Funded Utility Agreement
Review SubmittalForward to BTSwith Certificateof Eligibility &
Recommendations
BTSProcesses Documents
BTS Returns Copies ofFederal/State
Funding Approval
ReceiveFederal/State
Funding Approval
BSHP Authorizes UtilityProject for Charging
Send Notice ofFederal/State
Funding Approval
FDM 18-10 Attachment 1.2 Utility Coordination on Federal/State Funded Local Unit Projects
February 28, 2007 Attachment 1.2 Page 4
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
CompensableUtility Work
Non -CompensableUtility Work
Complete Right ofWay Acquisition Federal/State Funds
to be Used for Utility Relocation?
Yes No
Prepare & Submit Permit Applicationfor Work in Highway Right of Way
Review &Recommend
Approve & IssueUtility Permit
Record Release ofRight Document
ReceivePermit
ReceivePermit
ReceivePermitConstruction Section
Sends Utility Start Work Notice
Construction SectionInspects/Monitors
Prepare for/BeginUtility Construction
Prepare for/BeginUtility Construction
Reviews Work
Approve Final Plan Complete & Submit Highway Plan
Hold Utility CoordinationMeeting (Design
Phased) on Complex Projects
Attends Attends Attends Attends Attends
Submit Final Plan.Special Provisions,
& Utilities Status Report
Review Final PlanSpecial Provisions
& Utility Status Report.Verify Utility Status.
Prepare/Submit P.S. & E.
BPD Reviews &Approves P.S.&E.
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
CompensableUtility Work
Non -CompensableUtility Work
Complete Right ofWay Acquisition Federal/State Funds
to be Used for Utility Relocation?
Yes No
Prepare & Submit Permit Applicationfor Work in Highway Right of Way
Review &Recommend
Approve & IssueUtility Permit
Record Release ofRight Document
ReceivePermit
ReceivePermit
ReceivePermitConstruction Section
Sends Utility Start Work Notice
Construction SectionInspects/Monitors
Prepare for/BeginUtility Construction
Prepare for/BeginUtility Construction
Reviews Work
Approve Final Plan Complete & Submit Highway Plan
Hold Utility CoordinationMeeting (Design
Phased) on Complex Projects
Attends Attends Attends Attends Attends
Submit Final Plan.Special Provisions,
& Utilities Status Report
Review Final PlanSpecial Provisions
& Utility Status Report.Verify Utility Status.
Prepare/Submit P.S. & E.
BPD Reviews &Approves P.S.&E.
FDM 18-10 Attachment 1.2 Utility Coordination on Federal/State Funded Local Unit Projects
February 28, 2007 Attachment 1.2 Page 5
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
CompensableUtility Work
Non -CompensableUtility Work
BPD Lets& Awards
Highway Contract
Prepares ForConstruction
Federal/State Fundsto be used for
Utility Relocation?
Yes NoAttendsAttendsAttendsAttends
Hold UtilityCoordination Meeting(Construction Phase)on Complex Projects.
Review Status & Progressof Utility Coord.
Construction SectionHold Pre-Construction
Conference for HighwayContract
Notify Utility ofStart of Highway
Construction
AttendsAttendsAttends
Attends
Attends
Coordinate Workwith HighwayConstruction
(As Necessary)
Coordinate Workwith HighwayConstruction
(As Necessary)Monitor Highway
Utility Construction
Complete Utility Construction Complete Utility Construction
Submit BillsReview &Pay Bill
Request Reimbursement Submit Bills
Receive &Process Bill
Utility Coordination on Federal/ State Funded Local Unit Projects
Central OfficeUnit
Region Office
LocalUnit Consultant Utility
CompensableUtility Work
Non -CompensableUtility Work
BPD Lets& Awards
Highway Contract
Prepares ForConstruction
Federal/State Fundsto be used for
Utility Relocation?
Yes NoAttendsAttendsAttendsAttends
Hold UtilityCoordination Meeting(Construction Phase)on Complex Projects.
Review Status & Progressof Utility Coord.
Construction SectionHold Pre-Construction
Conference for HighwayContract
Notify Utility ofStart of Highway
Construction
AttendsAttendsAttends
Attends
Attends
Coordinate Workwith HighwayConstruction
(As Necessary)
Coordinate Workwith HighwayConstruction
(As Necessary)Monitor Highway
Utility Construction
Complete Utility Construction Complete Utility Construction
Submit BillsReview &Pay Bill
Request Reimbursement Submit Bills
Receive &Process Bill
FDM 18-10 Attachment 10.1 Proposed Highway Improvement Notice
February 28, 2007 Attachment 10.1 Page 1
PROPOSED HIGHWAY IMPROVEMENT NOTICE Wisconsin Department of Transportation DT1077 10/2005 (Trans. 220 WI Admin. Code) Pursuant to s.84.063 Wisconsin Statutes, this notice advises that the Wisconsin Department of Transportation is planning the improvement identified below.
To
From – Name, Address, City, State, ZIP Code Wisconsin DOT, SW Region 2101 Wright Street Madison, WI 53704-2583
Improvement Project ID 5080-00-04
County Sauk
Highway Route Number or Name STH 23 & 154
Improvement Limits Loganville - Reedsburg
General Description of Work to be Done This project consists of the replacement of two existing bridges (B-333 & B-334) with wider bridges. The approaches on both bridges will be widened for a least 200 feet on each side of the structures. Utility Coordination Desired Completion Date 2007
Anticipated Year of Improvement Construction 2008
Transportation Region Name Southwest Region
John H. Simpleton 1/2/2007
Consultant Name
(Region or Consultant Representative Signature) (If Computer-filled, Brush Script Font)
(Date)
Utilities Coordinator (Title)
NOTICE ACKNOWLEDGEMENT
Return this form within 7 days of receipt to address shown above. Receipt of the above notice is acknowledged.
We have no utility facilities in the vicinity of the improvement.
We have utility facilities in the improvement vicinity and will provide a description and general location within 60 days of the above notification date as required by s.84.063(2)(b) Wis. Stats.
We have utility facilities in the improvement vicinity; their description and general location are identified
below. (Attach additional sheets if necessary.)
Utility Name
Utility Representative Name – Please Print (Utility Representative Signature) (Date)
(Title)
FDM 18-10 Attachment 10.2 Sample Trans 220 Notification Letter
December 30, 2004 Attachment 10.2 Page 1
Wisconsin Department of Transportation
Date TRANS 220 PROJECT PROPOSED HIGHWAY IMPROVEMENT NOTICE JEFF MULLOY BADGER POWER AND LIGHT COMPANY 123 PATRICIA STREET ELKHORN WI 53121 RE: STH 11 - USH 14 Road Design Project 5972-01-01 (East and West Mineral Point Road Intersections) Construction Project 5972-01-72 STH 184 Rock County The information in this letter is meant to satisfy the legal requirements of Trans. 220. Enclosed are the following:
1) An 8 1/2" x 11" map of Rock County and 8 1/2" x 11" plat maps of the Towns of Center and Janesville, showing the location of this project. This project is in Sections 33, 34, 35 and 36, Town 3 North, Range 11 East, the Town of Center, Rock County.
2) A copy of the Concept Definition Report, which provides information on the scope of the project.
3) A list of other utility companies and contact people. This list may be of benefit to you when coordinating with the other companies in the area.
4) Form DT1077, PROPOSED HIGHWAY IMPROVEMENT NOTICE. NOTE: You will need to return the Notice Acknowledgment at the bottom of this form within seven days of your receiving it, with one of the three options marked. A business reply envelope is enclosed to assist you.
As noted on the DT1077 form, Trans. 220 requires that you provide within 60 days a description of your facilities within the project limits. “Description” as used here generally means providing a copy of your system maps/facility records.
If these records and maps are stored electronically, we are capable of accepting copies of these facilities on a CD, on a disk, or through e-mail. The software your company uses will determine how we can accept your information. If you use a GIS-based system the information would have to be provided on a CD or disk. AutoCAD or MicroStation files can be sent via e-mail to me at [email protected]
If you have any questions about software compatibility or electronic file transfer, please contact Bernie Gehrman at xxx-xxx-xxxx or at [email protected]
If you have facilities in the vicinity of this project, I'll be contacting you again with Form DT1078, PROJECT PLAN TRANSMITTAL, which will be accompanied by plans approved for use in designing your facility relocations. Months, or even a few years, may elapse before these final plans are sent. We expect that there will be new storm sewer constructed under this highway project. Therefore, we'll need to know the depth of your sanitary sewer and water mains, and whether there are risers for any sanitary sewer laterals which could conflict with new storm sewer. [USE THIS LANGUAGE ONLY WHERE APPROPRIATE.] The DOT's Utility Accommodation Policy discourages attachments to structures. Therefore, the reconstruction of the bridge at ______ provides an opportunity to design an alternate route for the gas main, sanitary sewer main,
FDM 18-10 Attachment 10.2 Sample Trans 220 Notification Letter
December 30, 2004 Attachment 10.2 Page 2
and communications cables which are currently attached to this bridge. We expect your company to find another route for your facility which would avoid an attachment to the new structure. [ADAPT AS NEEDED AND USE WHERE APPROPRIATE.] I would like to thank you in advance for your cooperation and assistance in our project development efforts.
Sincerely,
Ernest J. Peterson
Region Utilities Coordinator
Enclosures
FDM 18-10 Attachment 10.3 Sample Trans 220 Notification Letter and Invitation to the Initial Kick-off Meeting
December 30, 2004 Attachment 10.3 Page 1
Wisconsin Department of Transportation
TRANS 220 PROJECT PROPOSED HIGHWAY IMPROVEMENT NOTICE AND INVITATION TO INITIAL KICK-OFF MEETING
Date: K’DU COMMUNICATIONS INC. ATTN: SHER THAGUNNA POST OFFICE BOX 192 MADISON WI 53701 RE: STH 11 - USH 14 Road Design Project 5972-01-01 (East and West Mineral Point Road Intersections) Construction Project 5972-01-72 STH 184 Rock County
The information in this letter is meant to satisfy the legal requirements of Trans. 220.
An initial kick-off Meeting will be held on Wednesday, April 1, 1999 at 9:00 AM in the Green and Rock Rooms at Southwest Region – Madison Office. We will be discussing our basic project design and asking for input from the people present. This is an excellent time to exchange preliminary information, and to make us aware of any impacts which the proposed highway design may have on your facilities. In addition, please come prepared to discuss potential right of way acquisition needs which your company may have.
We expect that there will be new storm sewer constructed under this highway project. Therefore, we'll need to know the depth of your sanitary sewer and water mains, and whether there are risers for any sanitary sewer laterals which could conflict with new storm sewer. [USE THIS LANGUAGE ONLY WHERE APPROPRIATE.] The DOT's Utility Accommodation Policy discourages attachments to structures. Therefore, the reconstruction of the bridge at _____ provides an opportunity to design an alternate route for the gas main, sanitary sewer main, and communications cables which are currently attached to this bridge. We expect your company to find another route for your facility which would avoid an attachment to the new structure. Please come to the OPM prepared to discuss this issue. [ADAPT AS NEEDED AND USE WHERE APPROPRIATE.] Enclosed are the following: 1. An 8 1/2" x 11" map of Rock County and 8 1/2" x 11" plat maps of the Towns of Center and Janesville,
showing the location of this project. This project is in Section 36, Town 3 North, Range 11 East, the Town of Center, Rock County.
2. A copy of the Concept Definition Report, which provides information on the scope of the project. 3. A list of other utility companies and contact people. This list may be of benefit to you when
coordinating with the other companies in the area. 4. Form DT1077, PROPOSED HIGHWAY IMPROVEMENT NOTICE. NOTE: You will need to return
the Notice Acknowledgment at the bottom of this form within seven days of your receiving it, with one of the three options marked. A business reply envelope is enclosed to assist you. Since the OPM is 60 days from now, you could satisfy the Trans. 220 requirements by bringing your facility records/system maps to the meeting.
If these records and maps are stored electronically, we are capable of accepting copies of these facilities on a CD, on a disk, or through e-mail. The software your company uses will determine how we can accept your information. If it is a GIS-based system the information would have to be provided on a CD or disk. AutoCAD or MicroStation files can be sent via e-mail to me at [email protected]
If you have any questions about software compatibility or electronic file transfer, please contact Maya Thagunna at xxx-xxx-xxxx or at [email protected]
FDM 18-10 Attachment 10.3 Sample Trans 220 Notification Letter and Invitation to the Initial Kick-off Meeting
December 30, 2004 Attachment 10.3 Page 2
If you have facilities in the vicinity of this project, I'll be contacting you again with Form DT1078, PROJECT PLAN TRANSMITTAL, which will be accompanied by final plans approved for use in designing your facility relocations. Months, or even a few years, may elapse before these final plans are sent. I would like to thank you in advance for your cooperation and assistance in our project development efforts. Sincerely, Clem Smith Region Utilities Coordinator 608-246-3854 Enclosures
FDM 18-10 Attachment 10.4 Sample Notification for Non-Trans 220 Project
December 30, 2004 Attachment 10.4 Page 1
Wisconsin Department of Transportation February 24, 1995 PROPOSED HIGHWAY IMPROVEMENT NOTICE FOR NON-TRANS 220 PROJECT ERIC M. WILSON, PCV KATHMANDU POWER AND LIGHT COMPANY P. O. BOX 192 NEPAL WI 53769 RE: STH 11 - USH 14 Road Design Project 5972-01-01 (East and West Mineral Point Road Intersections) Construction Project 5972-01-72 STH 184 Rock County
The Wisconsin Department of Transportation has scheduled a highway improvement project for STH 184 at both the east and west intersections with Mineral Point Road in Rock County. This letter is being sent to inform you of this project and to request your help in determining if there are any potential conflicts with your existing facilities. Please send us your system maps for your facilities in the area of the project. These maps will be used to verify utility facility ownership on our plans. If you don’t have any facilities in the area, please let us know and we will remove your name from future mailings. We expect that there will be new storm sewer constructed under this highway project. Therefore, we'll need to know the depth of your sanitary sewer and water mains, and whether there are risers for any sanitary sewer laterals which could conflict with new storm sewer. [USE THIS LANGUAGE ONLY WHERE APPROPRIATE.]
The DOT discourages attachments to structures. Therefore, the reconstruction of the bridge at _____ provides an opportunity to design an alternate route for the gas main, sanitary sewer main, and communications cables that are currently attached to this bridge. We expect your company to find another route for your facility that would avoid an attachment to the new structure. [ADAPT AS NEEDED AND USE WHERE APPROPRIATE.]
Enclosed are the following:
1. An 8 1/2" x 11" map of Rock County and 8 1/2" x 11" plat maps of the Towns of Center and Janesville, showing the location of this project. This project is in Section 36, Town 3 North, Range 11 East, the Town of Center, Rock County.
2. A copy of the Concept Definition Report, which provides information on the scope of the project.
3. Three 11" x 17" preliminary plan sheets, marked 4.3, 4.4, and 4.5 in the upper right hand corner, and three 1"=100' scale preliminary sheets, marked A, B, and C.
4. A list of other utility companies and contact people. This list may be of benefit to you when coordinating with the other companies in the area.
Please send me copies of your facility system maps/records for the proposed construction area so that we may use them to compare against our survey information. Sometimes it is difficult to “connect the dots” that are picked up by our survey crews from field markings.
If you have facilities in the vicinity of this project, I'll be contacting you again with final plans approved for use in designing your facility relocations. Months, or even a few years, may elapse before these final plans are sent.
I would like to thank you in advance for your cooperation and assistance in our project development efforts. If you have any questions, please contact me at xxx-xxx-xxxx.
Sincerely,
Karisa Rusch
Region Utilities Coordinator
Enclosures
FDM 18-10 Attachment 30.1 Notice of Potential Conflict-Non Trans 220 Project
December 30, 2004 Attachment 30.1 Page 1
Wisconsin Department of Transportation_________________
August 6, 1999 MARK VIDAS BRUNETTE ELECTRIC COOPERATIVE 5308 MARSH ROAD MCFARLAND, WI 53558 Dear Mr. Vidas, NOTICE OF POTENTIAL CONFLICT Non-TRANS 220 Project RE: Project I.D. 3421-00-71 Delavan - Darien Road (Delavan - Allens Grove) STH 15 Walworth County The Wisconsin Department of Transportation will be reconstructing the above project. Work will include widening of shoulders, changing the grade line from CTH X to CTH D, curb and gutter storm sewer work in Delavan and in Allens Grove, replacing the box culvert at Turtle Creek, and re-decking the bridge over Swan Creek. Brunette Electric Cooperative (BEC) has facilities that are in conflict with this project which is scheduled for construction in 2001. Please review the enclosed materials to determine where your facilities are in conflict with the proposed highway project and to develop a relocation plan.
Enclosed for your use are the following:
1. A county map showing the general location of the project. This project is located in Sections 23, 24, 26, 27, 31 and 32 of Darien Township, Town 2 N, Range 15 East in Walworth County.
2. Right-of-Way Plat 3421-00-21. Please review this plat carefully. If BEC’s facilities are not shown correctly, please let us know so that we can correct our records. It is very important that your facilities are shown correctly on this plat. This information is placed on our construction plan and detail sheets which are used by all construction field personnel. Uncorrected location errors could have serious consequences.
3. Plan and profile sheets and cross-sections for the mainline and crossroads for the portions of the project where you have facilities.
4. Storm sewer design detail sheets for the portions of the project in Delavan and Allens Grove. 5. A “Utility Worksheet” form to assist you in providing the information we need regarding your relocation
plans. 6. A list of utility contact people for this project. This list may be used to coordinate your relocation
activities with the other utilities.
FDM 18-10 Attachment 30.1 Notice of Potential Conflict-Non Trans 220 Project
December 30, 2004 Attachment 30.1 Page 2
7. List of real estate commitments made to property owners that may affect your design. There may be additional commitments made later, which will be forwarded to you.
There are two environmentally sensitive areas on the project: The property near Station 125+00 on the right is a former gas station. Contaminated soils have been detected in that area. Additional information regarding this site can be obtained by calling Gayle Monroe at (xxx) xxx-xxxx. The house at 516 Barnes Street (Station 137+00 left) is on the National Register of Historic Places. Any aboveground facilities in that area should be designed with that in mind. If you have any questions regarding this site or the suitability of your design, please contact Joan Bruggink at (xxx) xxx- xxxx.
We have identified potential conflicts with BEC facilities from Station 120+50 to Station 250+00, and on CTH X and CTH D near the STH 15 intersections. However, it is important that you independently evaluate all possible conflicts. DEADLINES: The design complete date for this project is April 1, 2000, with a construction letting date of October 15, 2000. The work is scheduled to take place during the 2001 construction season. It would be best if you could do your relocation work in the summer and fall of 2000. We will need a reply from you by January 30, 2000 so that we can include the information regarding your relocation work into our highway plans. Your reply should consist of sketches of your proposed work along with the completed “Utility Worksheet” form. If you prefer not to use the form, you must at least provide the information requested on the form. If you have any questions regarding this letter, utility coordination, or utility permits, please contact me at (xxx) xxx-xxxx. Additional contact people for this project: Design questions: Dave Solberg, xxx-xxx-xxxx Real Estate acquisition questions: Craig Rusch, xxx-xxx-xxxx Survey questions: Jim Kropp, xxx-xxx-xxxx We appreciate your cooperation and assistance in our project development efforts. Sincerely, Ron Smith SE Region Utility Coordinator
FDM 18-10 Attachment 30.2 Project Plan Transmittal Form DT 1078
February 28, 2007 Attachment 30.2 Page 1
PROJECT PLAN TRANSMITTAL Wisconsin Department of Transportation DT1078 11/2005 (Trans. 220 WI Admin. Code) Pursuant to s.84.063 Wisconsin Statutes, the Wisconsin Department of Transportation is furnishing the number of sets specified below of the available plan showing all existing utility facilities known to the department where they will conflict with the improvement identified below.
To
From – Name, Address, City, State, ZIP Code
Improvement Project ID 6918-00-71
County
Columbia Highway Route Number or Name Bus USH 51 Improvement Limits Main Street to Broadway Avenue, City of Portage Number of Plan Set(s) Two
Anticipated Year of Improvement Construction
Project Classification Reconstruction
Work Plan Due Date 8/31/1994
For the purposes of Trans. 220.05(4), this improvement is classified as indicated above. Your work plan is required at the above address on or before the due date indicated.
Transportation Region Name Southwest
Consultant Name
(Region or Consultant Representative Signature) (If Computer-filled, Brush Script Font)
(Date)
Region Utilities Coordinator (Title)
PROJECT PLAN ACKNOWLEDGEMENT Return this form within 7 days of receipt to address shown above. Receipt of the above transmittal is acknowledged.
Utility Name
Utility Representative Name – Please Print (Utility Representative Signature) (Date)
(Title)
FDM 18-10 Attachment 30.3 Sample Cover Letter - No Utility Parcel Required
December 30, 2004 Attachment 30.3 Page 1
Wisconsin Department of Transportation
December 23, 1998 TRANS 220 PROJECT PROJECT PLAN TRANSMITTAL No utility parcel Justin Woods Alliant Energy P.O. Box 192 Lone Rock, WI 53556 RE: Potosi - Cassville Road Design Project I.D. 5205-03-00 (Potosi - CTH "N") Construction Project I.D. 5205-03-71 STH 133 Grant County This letter is being sent to satisfy the legal requirements of Wisconsin Statute 84.063 and Administrative Rule TRANS 220: 1) Within 7 days of receipt of this letter, you'll need to sign and return the "Notice Acknowledgment"
portion of the Project Plan Transmittal form. A business reply envelope is enclosed. 2) Within **** days you'll need to submit a Work Plan to describe what relocations will be required by
this project. A Utility Worksheet is enclosed to help you develop a complete Work Plan. Within the limits of this project, your company has facilities, some of which are in conflict with this proposed project. A list of conflicts is attached. Even though we're providing this list, the final responsibility for conflict identification lies with you. Remember that in fill sections and in transitions between cuts and fills, it is common for cuts of from 6" to 18" to occur when removing the existing pavement or topsoil, before the fill is added. Further, pay particular attention to ditch cuts; culvert, end wall, and cattle pass replacements and extensions; and driveway construction. All of these seemingly minor operations can affect your facilities in major ways. (OPTIONAL PARAGRAPH, INCLUDE ONLY THOSE ITEMS THAT APPLY) Enclosed are the following: 1. Project Plan Transmittal form (DT1078) and Project Plan that includes a Right-of-Way Plat, Plan and
Profile Sheets, cross sections, and intersection details. 2. Utility Worksheet, as mentioned above. 3. County map showing the general location of this project.
This project is located in Sections 19, 29, 28, 27, 34, 35 and 36 of Waterloo Township in Town 3 North, Range 4 West, Grant County.
FDM 18-10 Attachment 30.3 Sample Cover Letter - No Utility Parcel Required
December 30, 2004 Attachment 30.3 Page 2
4. Project Synopsis, which includes a list of environmentally sensitive areas. 5. List of Possible Conflicts. 6. List of utility contact people for this project. This list may help you coordinate your relocation work with the
other utilities. 7. List of real estate commitments made to property owners that may affect your design. There may be additional commitments made later, which will be forwarded to you. DEADLINES: As stated on Form DT1078, we will need your Work Plan or the enclosed Utility Worksheet and sketches by May 15, 1999. This project's design complete date is July 1999, with a construction bid letting scheduled for March 2000. We appreciate your cooperation and assistance in our project development efforts. Sincerely, Deb Brucaya SW Region Utility Coordinator CONTACTS LIST: Deb Brucaya 608-246-3853 Technical Service Section - Utility Unit Ben Heninger 608-246-3172 Project Development Section - Project Sup. Sean Mulloy 608-246-5861 Project Development Section - Project Manager Riley Heninger 608-246-7918 Technical Service Section - Survey Coordinator Kevin Watts 608-246-7390 Technical Service Section –Real Estate Agent Enclosures This letter may be used on Trans. 220 Projects for utility companies that do not have a land interest. (There is no utility parcel for this company on the right of way plat.)
FDM 18-10 Attachment 30.4 Sample Cover Letter - Parcel But Not Relocation
December 30, 2004 Attachment 30.4 Page 1
December 23, 1998 TRANS 220 PROJECT PROJECT PLAN TRANSMITTAL JUSTIN T WOODS No relocation required ALLIANT ENERGY P.O. BOX 192 LONE ROCK WI 53556 RE: Potosi - Cassville Road Design Project I.D. 5205-03-00 (Potosi - CTH "N") Construction Project I.D. 5205-03-71 STH 133 Grant County This letter is being sent to satisfy the legal requirements of Wisconsin Statute 84.063 and Administrative Rule TRANS 220:
1. Within 7 days of receipt of this letter, you will need to sign and return the "Notice Acknowledgment"
portion of the Project Plan Transmittal form. A business reply envelope is enclosed.
2. Within **** days you will need to submit a Work Plan to describe what relocations will be required by this
project. A Utility Worksheet is enclosed to help you develop a complete Work Plan. Facilities and/or easements owned by your company have been identified in areas of proposed new right of way being acquired for this project. It will be necessary to acquire easement rights from your company. I expect no conflicts between our proposed construction operations and your facilities within the project limits, so I have not included a utility agreement form in this mailing. However, we will need a release of rights document from your company. I am not sending a release of rights document at this time because the Transportation Project Plat for this project has not been recorded at the County Register of Deeds office. The appropriate release of rights document will be sent to you after the plat has been recorded. If you agree with this “no conflict” determination after you have reviewed the enclosed plans, then you can fulfill your TRANS 220 Work Plan responsibilities by doing the following:
1. State under Item 1, on the enclosed Utility worksheet “A relocation plan is not needed. We have reviewed the proposed plan and agree with the DOT that no conflicts are expected between the highway work and our facilities. “ (or a variation of this).
2. State under Item 6 that your facilities are shown accurately. 3. List a contact person in Item 8. 4. Fill out the date, name and phone number of the person who prepared the worksheet. 5. Return the worksheet.
If you disagree with this “no conflict” determination, please call me to explain and I will send you the appropriate utility agreement documents. Remember that in fill sections and in transitions between cuts and fills, it is common for cuts of from 6" to 18" to occur when removing the existing pavement or topsoil, before the fill is added.
FDM 18-10 Attachment 30.4 Sample Cover Letter - Parcel But Not Relocation
December 30, 2004 Attachment 30.4 Page 2
Further, pay particular attention to ditch cuts; culvert, end wall, and cattle pass replacements and extensions; and driveway construction. All of these seemingly minor operations can affect your facilities in major ways. (OPTIONAL PARAGRAPH, INCLUDE ONLY THOSE ITEMS THAT APPLY) Enclosed are the following: 1. Project Plan Transmittal form (DT1078) and Project Plan that includes a Right-of-Way Plat, Plan and Profile
Sheets, cross sections, and intersection details. A self-addressed return envelope is included to assist you in meeting the 7-day “Notice of Acknowledgment” deadline.
2. Utility Worksheet, as mentioned above. 3. Conveyance of Rights form DT1660. (Do not send at this time if a Transportation Project Plat
(recordable plat) is involved.) 4. County map showing the general location of this project. This project is located in Sections 19, 29, 28, 27,
34, 35 and 36 of Waterloo Township in Town 3 North, Range 4 West, Grant County. 5. Project Synopsis, which describes the work to be done and includes a list of environmentally sensitive areas. 6. List of utility contact people for this project. This list may help you coordinate your relocation work with the
other utilities. 7. List of real estate commitments made to property owners that may affect your design. There may be
additional commitments made later, which will be forwarded to you. DEADLINES: As stated on Form DT1078, we will need your Work Plan or the enclosed Utility Worksheet by May 15, 1999. This project's design complete date is July 1999, with a construction bid letting scheduled for March 2000. I will send you the release of right document as soon as it is available. We appreciate your cooperation and assistance in our project development efforts. Sincerely, Deb Brucaya SW Region Utility Coordinator CONTACTS LIST: Deb Brucaya 608-246-3853 Technical Service Section - Utility Unit Ben Heninger 608-246-3172 Project Development Section - Project Supervisor Sean Mulloy 608-246-5861 Project Development Section - Project Manager Riley Heninger 608-246-7918 Technical Service Section - Survey Coordinator Kevin Watts 608-246-7390 Technical Service Section - Real Estate Agent Enclosures This letter may be used on Trans. 220 projects for utility companies that have a land interest but no relocation is involved. There is no utility agreement required but a release of rights is needed.
FDM 18-10 Attachment 30.5 Sample Cover Letter - Parcel and Compensable Work
December 30, 2004 Attachment 30.5 Page 1
December 23, 1998 TRANS 220 PROJECT PROJECT PLAN TRANSMITTAL JUSTIN T WOODS Compensable Parcel ALLIANT ENERGY P.O. BOX 192 LONE ROCK WI 53556 RE: Potosi - Cassville Road Design Project I.D. 5205-03-00 (Potosi - CTH "N") Construction Project I.D. 5205-03-71 STH 133 Grant County This letter is being sent to satisfy the legal requirements of Wisconsin Statute 84.063 and Administrative Rule TRANS 220:
1. Within 7 days of receipt of this letter, you'll need to sign and return the "Notice Acknowledgment" portion of the
Project Plan Transmittal form. A business reply envelope is enclosed. 2. Within **** days you'll need to submit a Work Plan to describe what relocations will be required by
this project. A Utility Worksheet is enclosed to help you develop a complete Work Plan. Facilities and/or easements owned by your company have been identified in areas of proposed new right of way being acquired for this project. It will be necessary to acquire easement rights from your company, as well as provide for reimbursement of the eligible relocation work. A list of reimbursable interests and conflicts is attached. NOTE: Even though I’m providing this list, equal responsibility for conflict identification lies with you. I am not sending a release of rights document at this time because the Transportation Project Plat for this project has not been recorded at the County Register of Deeds office. The appropriate release of rights document will be sent to you for execution after the utility agreement has been approved Remember that in fill sections and in transitions between cuts and fills, it is common for cuts of from 6" to 18" to occur when removing the existing pavement or topsoil, before the fill is added. Further, pay particular attention to ditch cuts; culvert, end wall, and cattle pass replacements and extensions; and driveway construction. All of these seemingly minor operations can affect your facilities in major ways. (OPTIONAL PARAGRAPH, INCLUDE ONLY THOSE ITEMS THAT APPLY) Enclosed are the following: 1. Project Plan Transmittal form (DT1078) and Project Plan that includes a Right-of-Way Plat, Plan and
Profile Sheets, cross sections, and intersection details. A self-addressed return envelope is included to assist you in meeting the 7-day “Notice of Acknowledgment” deadline.
2. Utility Worksheet, as mentioned above. 3. Conveyance of Rights form DT1660 OR Quit Claim Deed form DT1661. (Do not send at this time if a
Transportation Project Plat (recordable plat) is involved.) 4. Audit Agreement form DT1541 and Lump Sum Agreement form DT1542. You may use whichever
agreement is appropriate if the amount of the agreement is less than $35,000. The Audit Agreement must be used if the amount of the agreement is larger
than $35,000. If you decide to use the Audit Agreement, pay particular attention to Provision #3 of the agreement that pertains to subcontracting.
5. County map showing the general location of this project.
This project is located in Sections 19, 29, 28, 27, 34, 35 and 36 of Waterloo Township in Town 3 North, Range 4 West, Grant County.
6. Project Synopsis, which describes the work to be done and includes a list of environmentally sensitive
areas. 7. List of possible utility conflicts, with compensable areas identified. If you disagree with what has been
identified as compensable, please call me to discuss.
FDM 18-10 Attachment 30.5 Sample Cover Letter - Parcel and Compensable Work
December 30, 2004 Attachment 30.5 Page 2
8. List of utility contact people for this project. This list may help you coordinate your relocation work with the other utilities.
9. List of real estate commitments made to property owners that may affect your design. There may be
additional commitments made later, which will be forwarded to you. In connection with the Agreement, I authorize you to prepare plans, estimates, and sketches documenting the anticipated relocation work. The plan should show both the present affected facility and the relocated or replaces facility with ties to highway stationing so that the location can be readily identified. Base your estimate on standard accounting practices and applicable portions of the Code of Federal Regulations 23, Part 645, Subpart A-Utility Relocations, Adjustments and Reimbursement. Include appropriate credits for used life, salvage, and betterment, or a statement declaring there are none. Construction authorization for this work is NOT hereby extended. Any construction performed before a written or verbal start work notice is received from me may not be reimbursed. DEADLINES: As stated on Form DT1078, we will need your Work Plan or the enclosed Utility Worksheet, the signed Conveyance of Rights (or Quit Claim Deed) form, the signed Agreement and four (4) copies of your estimate and sketches by May 15, 1999. This project's design complete date is July 1999, with a construction bid letting scheduled for March 2000. SUBCONTRACTING: You may intend to hire a consultant to prepare your work plan and engineer your relocation design, or you may propose to hire a contractor to perform the necessary relocations. As long as the consultant and the contractor you use are regularly employed in your operations under a continuing contractual arrangement, there is no need to contact me. If not, however, please call me to discuss the additional information I’ll need from you. We appreciate your cooperation and assistance in our project development efforts. Sincerely, SW Region Utility Coordinator CONTACTS LIST Deb Brucaya 608-246-3853 Technical Service Section - Utility Unit Ben Heninger 608-246-3172 Project Development Section - Project Supervisor Sean Mulloy 608-246-5861 Project Development Section - Project Manager Riley Heninger 608-246-7918 Technical Service Section - Survey Coordinator Kevin Watts 608-246-7390 Technical Service Section - Real Estate Agent This letter may be used on Trans. 220 projects for utility companies that have a compensable utility parcel. There is reimbursable utility relocation work.
FDM 18-10 Attachment 35.1 Utility Worksheet
December 30, 2004 Attachment 35.1 Page 1
UTILITY WORKSHEET Prepared by: Potosi Gas & Electric Cooperative PLEASE RETURN THIS WORKSHEET BY March 12, 2018 TO: Project 5205-03-00 Wisconsin Department of Transportation Potosi - Cassville Road ATTN: Deborah Brucaya (Potosi - CTH N) 2101 Wright Street STH 133 Madison, WI 53704-2583 Grant County (xxx)xxx-xxxx 1. Describe your proposed relocation plan for the above project, as requested in the enclosed letter, using
highway stationing whenever possible. Attach extra sheets if needed. 2. Conflicting utility facilities will need to be relocated prior to construction. If this is not feasible, I need an explanation and also an indication of what work will require coordination with the highway contractor during construction. 3. Anticipated Start Date:_________________________________________________ 4. Estimated construction time required (in working days):_______________________ 5. List the approvals required and the expected time schedule to obtain those approvals. Related to this, please
include a list of the DOT real estate parcels which the state must have acquired to enable your company to complete the necessary facility installations and relocations prior to construction.
6. Review the enclosed plans for the above project. Are your facilities correct as shown? If not, list the errors.
In some cases, it may be easier to return a marked up copy of the plan. IT'S VERY IMPORTANT THAT YOUR FACILITIES ARE SHOWN CORRECTLY SINCE ALL CONSTRUCTION FIELD PERSONNEL WILL USE THIS INFORMATION. UNCORRECTED LOCATION ERRORS COULD CREATE CONSTRUCTION DELAYS OR DAMAGE TO UTILITY FACILTIES.
7. Is this work dependent on work by other utilities? If so, which other utilities, and what time schedule has been
coordinated with them? 8. Please provide the name, address, and phone number of the field contact person for this project, so that we
may place this information on the highway plan. Name:______________________________________________________________
Address:_____________________________________________________________ Office Phone/Mobile:___________________________________________________
9. List any other relevant information that may bear on the ultimate goal of preventing construction delay due to
uncertain scheduling of utility facility relocations.
FDM 18-10 Attachment 35.1 Utility Worksheet
December 30, 2004 Attachment 35.1 Page 2
10. Do you have any facilities that are no longer in use but have been left in place in the project area? Yes or
No If “yes”, approximately where are the facilities located and what type and size of facility is involved? (Name of Person Who Prepared This Worksheet) (Date)_______________ (Phone Number of Preparer, plus Ext.)
NOTE: I will be sending you a Trans 220 Work Plan Approval letter and a Start Work Notice after I complete my review of your Work Plan.
FDM 18-10 Attachment 40.1 Utilities Status Report
July 28, 2011 Attachment 40.1 Page 1
UTILITIES STATUS REPORT Wisconsin Department of Transportation
DT 1080 7/2004
Date
A Construction Project ID
B County
C To: Bureau of Highway Development ATTN: Design Services Utilities Unit
FHWA Project
D Highway
E
From: F Director, District #
Design Project ID
G Road
H Plat Date
J R/W Project ID
K Section L
Plans Due Date
M Contract Letting Date
N
UTILITY FACILITY PARCEL PARCEL
ESTIMATED PCL
FNDG DATES
COMPANY TYPE NO ID
COST % NOTICE SENT
PARCEL TO C O
C O APP LUG ACQ
WORK SCHEDULED
P Q R S T U V W X Y
I CERTIFY THAT: Z This is a TRANS 220 project; This is NOT a Trans 220 project;
AND (check one): AA The above is a complete list of utilities with facilities in the project area and that necessary coordination arrangements
have been made, except as noted below. AA The above is a complete list of utilities with facilities in the project area and there are no known utility adjustments
required by the project. AA There are utilities within the project area, but the project will not conflict with or impact them. (Utilities need not be listed
in the table above.) AA There are no known utility facilities within the project area. A copy of the Special Provisions per FDM Procedure 19-15-25 is attached.
Name of Preparer
BB
Date
BB Firm/District
CC
(Area Code) Telephone Number
DD
District Contact EE
PARCEL STATUS OF PARCELS NOT YET ACQUIRED/OTHER COMMENTS
FDM 18-10 Attachment 40.1 Utilities Status Report
July 28, 2011 Attachment 40.1 Page 3
INSTRUCTIONS FOR COMPLETING THE UTILITIES STATUS REPORT FORM Note: The Utilities Status Report form (USR) is available as a MS-Word document on the DTID Local Area Network at N:/Oas/Dtid/Forms/Dtforms/Dt1080.doc The USR should be filled out using these instructions. The letters refer to the corresponding letters shown on the form in Attachment 1. A. The date the USR is signed or submitted.
B. Construction Project I.D. for the project(s) covered by this document.
C. County in which the project is located.
D. FHWA Project I.D. if known.
E. The STH, USH, or IH number; CTH letter; TOWN; or LOCAL.
F. Name of District Director and the number of the district in which the project is located.
G. The Design Project I.D. for the project.
H. The name of the road. This is the TITLE of the project in the FOS system.
J. The date the plat was signed or revised. (If applicable)
K. The R/W Project I.D. for the plat. (If applicable)
L. The project limits. This is the LIMITS of the project in the FOS system.
M. The date the PS&E is to be submitted to Central Office.
N. The scheduled letting date.
P. Utility company name, may be abbreviated. (WP&L, NSP, WEPCO, etc.)
Q. Type of utility facility. (Electric, Gas, Water, San Sewer, etc.)
R. Utility parcel number as shown on the R/W plat.
S. Utility Project I.D. when applicable.
T. Estimated cost of utility agreement.
U. Funding of utility project. Normally this will be either “100% State” or “100% Local.”
V. The date the project plans were sent to the utility company. For TRANS 220 projects, this will be the date the DT1078 form, plans and cover memo were sent.
NOTE: When finished filling in the DT1080 form, please convert to a PDF.
FDM 18-10 Attachment 40.1 Utilities Status Report
July 28, 2011 Attachment 40.1 Page 4
NOTE: W and X apply only to utility parcels.
W. The date the utility agreement was sent to the Bureau of Highway Development Design Services Section Utility Unit.
X. The date the utility agreement was approved or the date the conveyance of rights was signed if there is no agreement ($1 parcels).
Y. State when the utility relocation work is scheduled. “Prior to const.;” “None;” “During Const.;” “May 1, 1998;” and “Fall 1997” are all acceptable types of statements.
Z. Check the box that applies. Either the project is or is not a TRANS 220 project.
AA. Check one of the four boxes:
The first box is the box that will normally be checked when there are utility conflicts.
The second box should be used when there are no utility conflicts. The third box can be used when the project will not break ground and there is no possibility of a conflict with a utility facility. The utility companies don’t need to be notified of the project. This can be used for pavement marking projects, seal coating projects (where sealcoating is the only operation), erecting signals where the signal bases are already in place, sign face refurbishing, and other types of projects that don’t break ground. The fourth box should be used when there are no facilities within the project limits.
BB. Date and name of the person responsible for utility coordination. CC. The name of the organization the preparer works for. DD. The phone number of the preparer . EE. Name of district contact. FF. The parcel number of the utility parcel that hasn’t been acquired. GG. The status of the unacquired parcel, including expected date of completion. Also, any other comments regarding unusual circumstances of utility coordination on this project.
FDM 18-10 Attachment 40.2 Example - Utilities Status Report
December 30, 2004 Attachment 40.2 Page 1
UTILITIES STATUS REPORT Wisconsin Department of Transportation
DT1080 7/2004
Date
June 1, 2004 Construction Project ID
5255-03-71 County
Iowa
To: Bureau of Highway Development ATTN: Design Services Utilities Unit
FHWA Project
--- Highway
STH 23
From: Dustin T. Brunette Director, District #9
Design Project ID
5255-03-00 Road
Dodgeville-Spring Green Rd Plat Date
August 6, 2001 R/W Project ID
5255-03-21 Section Dodgeville-Percussion Rock Rd
Plans Due Date
July 1, 2004 Contract Letting Date
November 14, 2004
UTILITY FACILITY
PARCEL PARCEL ESTIMATED
PCL FNDG
DATES
COMPANY TYPE NO ID
COST % NOTICE SENT
PARCEL TO C O
C O APP LUG ACQ
WORK SCHEDULED
Alliant Gas 87 5255‐03‐41 $16,283 100% State
1/15/03 8/3/99 9/27/99 Prior to Const.
GTE Telephone 88 5255‐03042 $35,230 100% State
1/15/03 7/15/99 7/26/99 Prior to & during Const.
Charter Cm+ CATV ‐‐ ‐‐ ‐‐ ‐‐ 1/15/03 ‐‐ ‐‐ Fall 2000
Dodgeland Electric
Electric 86 5255‐03‐21 $1 100% State
1/15/03 ‐‐ 6/3/99 None
Ameritech Telephone 89 5255‐03‐43 $12,600 100% State
1/15/03 Spring 2004
I CERTIFY THAT:
This is a TRANS 220 project; This is NOT a Trans 220 project; AND (check one):
The above is a complete list of utilities with facilities in the project area and that necessary coordination arrangements have been made, except as noted below.
The above is a complete list of utilities with facilities in the project area and there are no known utility adjustments required by the project.
There are utilities within the project area, but the project will not conflict with or impact them. (Utilities need not be listed in the table above.)
There are no known utility facilities within the project area.
A copy of the Special Provisions per FDM Procedure 19‐15‐25 is attached.
Name of Preparer
Katie Brakefield Date
June 1, 2004
Firm/District
Emerald City Engineering (Area Code) Telephone Number
(608) 756‐9156 District Contact
Riley Heninger, District Utility Coordinator
PARCEL STATUS OF PARCELS NOT YET ACQUIRED/OTHER COMMENTS
89 Ameritech lost the agreement documents. They have been resent and are expected to be returned by June 15, 2004.